What kind of dog food is good for kidney disease

What To Feed a Dog With Kidney Disease

Nutrition plays a big role in the management of dogs with kidney disease. Because dogs with kidney disease usually arent feeling well, the first step is often to merely get your dog to eat anything.

Kidney disease can make dogs nauseated, and they can also develop ulcers in their mouth or stomach, which makes eating painful. A feeding tube may be necessary to get dogs with severe kidney disease the nutrition they need.

Once your dogs condition is more stable, you can turn your attention to providing more optimized nutrition. Kidney diets for dogs have to tick a lot of boxes. Heres a guide that explains nutritional needs and what to feed a dog with kidney disease.

What To Look For in a Kidney Diet for Dogs

Kidney diets for dogs are significantly different from regular dog foods. However, no single kidney diet is going to be best for every dog throughout the rest of their life.

For example, a dog in the early stages of kidney disease could thrive on a kidney diet with more protein, but as their disease progresses, a diet lower in protein and phosphorus might better control their symptoms.

As a rule of thumb, good kidney diets for dogs tend to have anutrient profilethat looks like this:

Nutrient	Grams/1000 kcal
Protein	31-41
Phosphorus	0.5-0.8
Sodium	0.4-1.2
EPA and DHA	0.4-1.2

Unfortunately, it can be hard tofind this information on dog food labelsor on pet food manufacturers websites. If you are having trouble getting the numbers, your veterinarian can help you pick a good kidney diet based on your dogs needs.

Here are several important elements to look for in kidney diets for dogs:

Taste

The most important characteristic of a kidney diet for dogs can be the hardest to achieve: It has to be delicious! Thats because the metabolic and physical changes associated with kidney disease can lessen a dogs appetite.

To counteract this effect, kidney diets need to smell and taste great. After all, a kidney diet that isnt eaten isnt going to do a dog any good. Kidney diets should also be calorie- and nutrient-dense, so dogs can eat less and still get a lot of nutrition.

Hydration and Water Content

Kidney diets should also contain a lot of water. Dogs with kidney disease struggle to maintain their hydration. All dogs always need to have access to bowls of fresh clean water, but a diet that has high water content is a great way to boost a pets water intake when they have kidney disease.

Wet foods are almost always a better option for dogs with kidney disease than dry foods. If you are feeding your dog kibble, ask your veterinarian about adding water to the dry food or other ways you can supplement their water intake.

It's also important to keep an eye on the sodium levels in kidney diets for dogs. Too much sodium increases the chances that your dog will becomedehydrated.

The Right Amount of the Right Protein

Next comes the balancing act that is protein. Dogs with kidney disease need protein, but not too much. The breakdown products of protein digestion are responsible, in large part, for making dogs with kidney disease feel yucky.

The goal is to feed just enough protein to meet a dogs needs for muscle maintenance, immune function, and the other vital jobs proteins have in the bodybut not to feed too much more. Extra protein will only be turned into calories that can be more safely provided by carbohydrates and fats.

Protein quality is also important. Proteins should be highly digestible and supply all the essential amino acids dogs need.

Low Phosphorus Levels

Theres a close relationship between protein intake and blood phosphorus levels. Dogs with kidney disease gradually lose the ability to excrete phosphorus in their urine, so it backs up in the bloodstream. Reducing phosphorus intake has been shown to slow the progression of kidney disease in dogs and increase their lifespan.

An important way to reduce phosphorus levels in the diets of dogs with kidney disease is to not overfeed protein and to ensure thatproteins relatively low in phosphorusare included in the diet. Plant-based sources of protein tend to be lower in phosphorus than animal-based sources of protein.

Supplements

Nutritional supplements can also help dogs with kidney disease. Supplements often included in kidney diets for dogs include:

• Omega-3fatty acids:eicosapentaenoicacid (EPA) and docosahexaenoic acid (DHA), which can reduce inflammation in the bodyincluding in the kidneysand possibly improve kidney function

• Antioxidants,which neutralize free radicals that can further damage the kidneys

• Fermentable fiber,which helps get rid of protein digestion waste products in poop. This allows dogs to eat more protein than they might be able to otherwise.

Prescription Kidney Diets vs. Homemade Kidney Diets for Dogs

What abouthomemade kidney diets for dogs? Astudypublished in 2012 showed how hard it is to find nutritionally complete and balanced kidney diet recipes in books and online. Of the 39 recipes evaluated, none met all the National Research Councils recommended nutrient allowances for adult dogs.

In contrast, prescription kidney diets produced by reputable dog food manufacturers undergo testing to ensure they are safe for long-term feeding and have a positive effect on a dogs health.

How To Cook for Dogs With Kidney Disease

One big benefit of homemade kidney diets, however, is taste. If your dog simply wont eat anything else, a homemade kidney diet is worth considering. To avoid nutrient deficiencies or excesses, make sure a veterinary nutritionist or a service likeBalanceIT, which requires veterinarian approval, is involved in formulating recipes for your dog.

Common Prescription Kidney Diets for Dogs

After a dog has been diagnosed with kidney disease and their condition is stabilized, veterinarians typically recommend switching over to a prescription kidney diet. Your veterinarian may have recommended a particular food based on the details of your dogs case. Here are three popular options:

Hill's Prescription Diet k/d Kidney Careis available in wet and dry formulations and different flavors:

How To Transition Your Dog to a Kidney Diet

special attention to how you make the transition. Do notchange your dogs foodwhile they are still nauseated or feeling bad. They may associate their symptoms with their new food and refuse to eat it.

Once your dog has a good appetite, start making the switch very slowly. Give them lots of time to get used to the new flavors, textures, and ingredients. This reduces the chance of food refusal and lets your dogs digestive system adapt.

Here is a timetable for taking two weeks to switch your dog to a new diet:

• Days 1 and 2:Mix 5% of the new food in with 95% of the old food

• Days 3 and 4:Mix 10% of the new food in with 90% of the old food

• Days 5 and 6:Mix 20% of the new food in with 80% of the old food

• Days 7 and 8:Mix 40% of the new food in with 60% of the old food

• Days 9 and 10:Mix 60% of the new food in with 40% of the old food

• Days 11 and 12:Mix 80% of the new food in with 20% of the old food

• Days 13 and 14:Mix 90% of the new food in with 10% of the old food

• Day 15:Try 100% of the new food

If at any point your dog turns their nose up at their food or develops signs of digestive upset, move back a step in the timetable and proceed more slowly.

Signs to Watch for After Starting Your Dog on a Kidney Diet

Dont give up if you initially have trouble switching your dog to a kidney diet. Call your veterinarian if your dog wont eat the recommended food. They can help by:

• Recommending an appropriate food topper to make the food more appealing. Avoid products that are high in phosphorus and salt.

• Prescribing medications to reduce nausea, stomach inflammation, ulcers, or other symptoms that may be reducing your dogs appetite

• Recommending a different prescription kidney diet or, if necessary, a suitable over-the-counter food

• Referring you to a veterinary nutritionist to get recipes for homemade kidney diets

• Talking to you about the benefits of a feeding tube

Many dogs with kidney disease live happily for quite a long time, particularly if they get the right kind of nutrition. Onestudyshowed that on average, dogs who were fed a kidney diet lived 13 months longer than those who ate regular dog food. Thats certainly a goal worth striving for!

Featured image: iStock.com/RichLegg

WRITTEN BY

Jennifer Coates, DVM

Veterinarian

Dr. Jennifer Coates is an accomplished veterinarian, writer, editor, and consultant with years of experience in the fields of veterinary...

Best Dog Food for Kidney Disease 2024: Meals Low in Phosphorus & Protein

About 1% of dogs are affected by chronic kidney disease. With the right treatment, many dogs are able to live comfortably for many years despite kidney diseases, especially if caught at an early stage.

With your vets help, the right nutrition can help prevent the disease from progressing. Find the best dog food for kidney disease in this 2024 guide and review.

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What Causes Kidney Disease in Dogs?

Just like in humans, your dogs kidneys are responsible for filtering out waste, balancing nutrients, and increasing red blood cell production. They also play a vital role in helping regulate blood pressure and metabolize calcium.

Kidney failure can result in a rapid decline of multiple functions of a dogs body and cause high blood pressure, potassium deficiency, and other conditions.

Kidney disease can be congenital, which means the dog was born with it. It can also be acquired through inflammation, stones, infections, toxins, or cancers of the kidney that leads to permanent damage. Urinary obstruction can also lead to kidney problems, due to the kidneys not getting enough oxygen.

Acute Kidney Failure

Acute or short-term kidney disease happens fairly quickly and lasts several days. In dogs, it is typically caused by the ingestion of toxins such as household chemicals, spoiled or contaminated food.

A bacterial infection such as leptospirosis can also cause dogs to develop kidney disease. Other causes include dehydration, snake bites, and heat strokes.

Because of the sudden malfunctioning of their kidneys, dogs suffering from acute kidney disease require immediate medical attention. They will need to undergo a range of diagnostics that will help assess the underlying cause of kidney disease and the level of dysfunction.

The vet may require blood tests, urine tests, X-rays, ultrasound, and blood pressure measurements.

Intensive treatments are usually in the order in cases of this type of kidney disease.

Treatments for Acute Kidney Disease

• Intravenous fluid therapy
• Antibiotic medication
• Nutritional support
• Medication for nausea and gastric irritation
• Monitoring of urine and blood
• Monitoring and treatment of any secondary health problems

Chronic Kidney Failure

Chronic kidney disease is the slow or gradual decline of the kidneys health. It is more common in senior adult dogs. More than 10% of dogs aged over 15 have chronic kidney disease. While not common, kidney disease occurs in younger pups as well

Dogs with chronic kidney failure may experience mild symptoms that may go unnoticed at first. The sooner it is discovered, the better it can be managed by pet owners and help their pups live comfortably.

Symptoms of Kidney Disease

• Increased water intake
• Increased urine output
• Weight loss
• Sometimes decreased appetite
• Occasional vomiting, increasing with frequency over time
• Blood in urine
• Signs of dental disease like pale gums, bad breath, mouth ulcers

Diagnostics

Vets monitor and diagnose kidney disease through blood tests that would indicate the following:

• Urea and creatinine rise with canine kidney disease
• Phosphate rises with long term kidney disease
• Regular full blood profiles can also monitor all the body systems. Changes in any other system will also affect a dogs kidneys.

Urine tests are also important. Dogs with poor kidney function are unable to concentrate or dilute urine.

• A Sedivue test can be used to detect infection in the renal system. Controlling any infection is important for maintaining kidney function.
• The presence of protein may indicate a need for medication.

Best Dog Food for Kidney Disease

1. Royal Canin Renal Support S
2. Purina Pro Plan Veterinary Diets NF Kidney Function
3. Forza10 Nutraceutic Active Renal Support Diet
4. Nom Nom Pork Potluck Fresh Dog Food
5. SquarePet VFS Low Phosphorus Formula
6. Lotus Wholesome Good Grains Senior Special Needs Recipe
7. Merrick Colossal Chicken Dinner
8. Evanger's Low Fat Vegetarian Dinner

We have reviewed the most popular prescription foods or veterinary diets that have been able to give satisfactory results, as well as non-prescription dog foods that have some of the lowest phosphorus content in the market.

Whether your vet advises you to put your pup on a prescription diet for kidney failure or low phosphorus commercially available dog food, our list of best dog foods for kidney disease can help cut down the time youll be spending on the quest for the right food for your pup.

1. Royal Canin Veterinary Diet Renal Support S

First 5 Ingredients: Corn, Brewers Rice, Chicken Fat, Brown Rice, Chicken By-Product Meal

Guaranteed Analysis:

Royal Canin Veterinary Diet Renal Support S dry dog food is one of the most popular dog foods for kidney disease.

This is because the dog food brand is one of the very few ones that make prescription pet foods. They are also one of the first to do it. Veterinary authorization is required to purchase this product.

Renal Support S is just one of the dog foods formulated by Royal Canin for kidney disease. Depending dogs kidney problems, your vet may prescribe a different type of renal care food.

The S in Renal Support S stands for Savory. This dry dog food is formulated to help encourage dogs with decreased appetites to eat. It offers a more varied flavor profile.

The kibbles in this diet for kidney issues are designed to be energy-dense to be able to provide enough nutritional support even in small portions. This feature is important as many dogs with chronic kidney disease have very low appetites.

This chicken dry dog food is quite low in protein at only 10.5% to ensure that the kidneys are not overworked. The main source of protein in this veterinary diet for kidney failure is chicken by-product meal. The phosphorus content is also much lower compared to regular dry dog foods at only 0.42%.

Aside from the optimized protein, phosphorus, and sodium levels, this renal supportive diet also has fish oil as a high-quality source of omega 3 fatty acids. A precise blend of antioxidants also helps in reducing inflammation and promotes good cellular health. The carb and fiber sources in this recipe are brewers rice and corn.

This formula has received numerous rave reviews from owners of dogs with kidney disease and other related conditions. Their dogs prefer this food over other kidney diet or kidney care food. The highly palatable kibbles also smell quite good.

Most importantly, this food seems to have helped many dogs restore their kidney values at more ideal levels, or at least slow down the progression of the disease. Overall, the buyers are just thrilled that their pups are enjoying having their meals again.

Pros

• Optimized protein, phosphorus, sodium levels for dogs with kidney disease
• Highly palatable to increase dogs appetite
• Fish oil a source of omega 3 fatty acids
• Energy-dense to provide adequate nutrition even in small amounts
• Great feedback from owners of dogs with kidney disease

Cons

• More expensive than over-the-counter dog foods
• Can be a bit greasy
• Chicken by-product meal

2. Purina Pro Plan Veterinary Diets NF Kidney Function

First 5 ingredients: Water Sufficient For Processing, Meat By-Products, Rice, Corn Grits, Beef

Guaranteed Analysis:

Purina Pro Plan Veterinary Diets NF Kidney Function canned food is formulated specifically to help support the kidney health of dogs with kidney problems.

It has restricted amounts of protein, phosphorus, and sodium to avoid adding more strain to diseased kidneys. A vets authorization is required to purchase this canned dog food.

This prescription wet food has a minced texture, making it ideal for pups who prefer dog foods that are easier to chew.

It is especially made to be very meaty and tasty to encourage dogs with reduced appetite levels to eat. This dog food has beef, meat by-products, liver, and chicken by-products as its sources of animal protein.

Despite the presence of liver which is an organ meat, the phosphorus content of this wet food is quite low at only 0.36% on a dry matter basis.

The protein levels are restricted too, as it is quite difficult to achieve very low phosphorus levels without reducing the protein content as well.

According to buyers, this minced veterinary diet has helped improve the creatinine levels of multiple dogs with kidney problems. Others also credited this renal supportive diet with improving the overall kidney function values as shown in the dogs bloodwork.

Just like with most owners of dogs with kidney issues, a lot of them are quite thankful that their dogs eat this NF Kidney Function canned food. It is quite a challenge to feed dogs with kidney disease.

Many of the dogs like one thing and then ignore it the next day. However, a lot of dogs seem to find this quite tasty.

Pros

• Optimized protein, phosphorus, sodium levels for dogs with kidney disease
• Highly palatable
• Increases dogs with kidney problems moisture intake
• Helped numerous dogs show improved kidney health values in their bloodwork

Cons

• Expensive
• Can be slightly dry and crumbly (simply add a bit of warm water)
• Unnamed animal ingredients (liver, meat by-products)

3. Forza10 Nutraceutic Active Kidney Renal Support Diet

First 5 ingredients: Rice, Pea Starch, Vegetable Oil, Hydrolyzed Fish Protein, Hydrolyzed Potato Protein

Guaranteed Analysis:

Forza10 Nutraceutic Active Kidney Renal Support Diet is a great alternative to more expensive kidney care prescription diets.

It is specially formulated to help support renal and cardiac health in dogs by providing controlled levels of protein, phosphorus, and sodium. This renal formula does not require a vets prescription to purchase.

This dog food for kidney disease has an as fed basis protein content of only 18%, and phosphorus content of 0.6% and 0.1% respectively. It is made with Icelandic wild-caught anchovy that has been hydrolyzed to enable the body to absorb the proteins without triggering allergic reactions in sensitive pups.

Fish is also naturally high in omegas for healthy skin and coat. The anti-inflammatory properties in fish oil also help slow down further damage to the kidneys.

This single-source protein dry dog food is ideal for dogs with kidney disease who are sensitive to chicken and beef. It has pea starch, which is a high-quality carb and fiber source. It contains no unnamed animal ingredients, whole grain corn, wheat, or soy.

Antioxidants from cranberries, dried dandelions, and dried clover help protect the immune system from free radicals and promote healthy cellular function. The antibacterial properties in cranberries help prevent urinary infections.

This kidney diet from Forza10 is another product that has delivered great results to dogs with kidney disease. According to their owners, the proof is in the bloodwork. The kidney values of these pups have improved since they switched to this dry dog food.

The renal diet has been quite popular among the pups as well. The owners are thrilled to see that their dogs enjoy their meals. For them, this is one of the best dog foods for kidney health.

Pros

• Controlled protein, phosphorus, and sodium levels for dogs with kidney issues
• High-quality ingredients
• Single-source protein for sensitive dogs (hydrolyzed fish)
• Fish oil omega 3 fatty acids source
• Antioxidants from superfoods
• Highly palatable
• Cheaper than veterinary diet
• Prescription not required

Cons

• Kibbles are a bit too large for some small breed dogs

4. Nom Nom Pork Potluck Fresh Dog Food

All ingredients: Ground Pork, Russet Potatoes, Green Beans, Squash, Kale, Cremini Mushrooms

Guaranteed Analysis:

Nom Nom Pork Potluck fresh dog food is a high-quality fresh-cooked food that is made with only the best human-grade ingredients.

The food is gently cooked for maximum nutrient retention while also eliminating harmful bacteria. More and more dog owners believe that fresh food is one of the best dog foods that money can buy.

Each recipe is tailor-made according to your dogs weight, weight goals, age, and activity levels. The food is pre-portioned using an algorithm developed by the brands team of health experts based on the most recent research in veterinary nutrition.

This makes feeding time very convenient for busy pet parents who want nothing but the best for their pup.

Out of the four Nom Nom recipes, Pork Potluck is the lowest in protein at 7% on as fed basis. Fish oil is the source of healthy fats instead of pork fat. The brand does not specify the phosphorus and sodium levels of the food.

According to its website, prescription diets are not offered at this time. However, they are happy to discuss your dogs nutritional requirements and work directly with their in-house veterinary nutrition team to see if any of their recipes would be a good fit for your dog.

This product has numerous rave reviews from pet parents. Their dogs are showing significant improvement in their overall health. They have brighter eyes, shinier coats, healthy skin, and increased energy levels.

A lot of them are senior adult dogs and sensitive dogs who were suffering from various conditions such as skin and digestive issues, diabetes, and even brain tumors.

The dog owners believe that the elimination of overly processed foods in their pooches diets is what ultimately helped them achieve better health. They love that the ingredients are visibly real and smell like cooked human food.

We highly recommend contacting Nom Nom to discuss the specific protein, phosphorus, and sodium levels that your dog needs. If tailored to your dogs needs, there is a good chance that fresh food could prevent your dogs kidneys from sustaining more damage.

Pros

• High-quality human-grade fresh food
• Zero preservatives, artificial enhancers
• Customized according to your dogs weight, weight goal, age, activity levels
• Has fish oil instead of pork fat
• Pre-portioned for convenience
• Highly palatable
• Antioxidants from superfoods

5. SquarePet VFS Low Phosphorus Formula

First 5 ingredients: Brown Rice, Whole Egg, Turkey, White Rice, Turkey Fat

Guaranteed Analysis:

SquarePet VFS Low Phosphorus Formula is a dry dog food formulated by a team of veterinary professionals to support dogs with special dietary needs.

This specific recipe has controlled levels of phosphorus, protein, and sodium making it ideal for dogs with kidney disease. This is a better alternative to prescription food than most over-the-counter kibbles in the market.

On a dry matter basis, this SquarePet dry dog food has only 0.32% phosphorus content, while its protein and sodium levels are at 15.48% and 0.31% respectively. These lower levels are designed to avoid overworking the kidneys and further advancing renal damage.

The main protein sources are whole egg and turkey, which are both easy to digest. These two protein sources also make it ideal for dogs with kidney disease who are allergic to beef or chicken proteins.

The carb and fiber sources are also carefully selected to ensure that the food is gentle on sensitive stomachs. This includes white rice, tapioca, and sweet potato. No corn, wheat, or soy are used in this dog food.

Salmon oil is included as a high-quality source of omega 3s which support the immune system, brain, skin, and coat health. It is also known to help slow down the progression of kidney disease.

This low phosphorus formula is enriched with antioxidants to support oxidative stress. It also has prebiotics and probiotics to help improve dogs gut health.

Because the brand is fairly new to the market compared to others on this list, it does not have as many reviews from buyers. That said, it has still received mostly rave reviews from the pet owners who have purchased it.

A lot of them discovered this formula in search of food that their dog would like after trying numerous kidney care foods.

To their surprise, their dogs seem to love this egg and turkey recipe. Some have even managed to put on a bit of weight something that is quite hard to achieve in dogs with kidney disease.

Another factor that impressed the buyers is its ingredient quality. Its ingredient list is absolutely free from sub-par ingredients such as unnamed animal ingredients, by-products, and artificial ingredients. It is free from whole grain corn or other corn derivatives typically found in more popular brands of prescription foods.

This recipe is definitely worth trying. Just make sure that you consult your vet before trying any new food for a dog with kidney disease.

Pros

• Controlled protein, phosphorus, and sodium levels
• High-quality ingredients
• Highly digestible protein sources whole egg, turkey
• Salmon oil omega 3 fatty acids source
• Antioxidants
• L-carnitine
• Prebiotics, probiotics
• Highly palatable
• Cheaper than veterinary diet
• Prescription not required

Cons

• Limited buyer reviews on results due to the product being fairly new

6. Lotus Wholesome Good Grains Senior Special Needs Recipe

First 5 ingredients: Chicken, Rye, Chicken Liver, Sardine, Brown Rice

Guaranteed Analysis:

Lotus Wholesome Good Grains Senior Special Needs Recipe is a dry fog food that is specially formulated for senior adult dogs with special needs.

It has lower phosphorus and calcium levels, which makes it a good veterinary diet substitute for dogs with kidney disease. Because it is not specifically made to support renal health, we recommend that you consult your vet first before buying this product.

Compared to most commercially available dry dog foods, this Lotus senior dogs recipe has a lower phosphorus content. On a dry matter basis, its phosphorus content is 0.54%. The protein percentage is not too high at 20.56% DMB, and sodium is quite low at only 0.15% DMB.

Despite the presence of chicken liver, the brand is still able to keep the phosphorus content at a fairly restricted level. The other animal protein sources in this recipe are chicken and sardines, making it very flavorful.

This grain-inclusive recipe for senior dogs has only wholesome grains as its fiber and carb sources. Formulated to be low in starch, this food has rye, barley (whole, instead of cracked pearled barley), and oats.

The oven-baked kibbles also have antioxidant-rich fruits and veggies such as apples, blueberries, spinach, and carrots.

To support a healthy digestive system, fiber-rich pumpkin is included along with probiotics. Salmon oil provides the much-needed omega 3 fatty acids, while glucosamine and chondroitin promote good joint health.

This food for senior dogs seems to be getting rave reviews from owners of dogs with various special needs. From renal failure to pancreatitis and even liver issues, many of the buyers took a chance on this senior formula and found success.

The lower phosphorus, protein, sodium, and fat levels of this food made it suitable for a lot of dogs' special dietary requirements.

The pet parents credit this food for improving the overall health and the kidney function values of their pups. They also love that they can save on prescription food costs, plus the pups love the oven-baked kibbles. Some even use these chicken and sardine kibbles as treats.

Pros

• Controlled protein, phosphorus, fat, and sodium levels
• High-quality ingredients
• Wholesome grains
• Salmon oil omega 3 fatty acids source
• Antioxidants from superfoods
• Joint support
• Probiotics
• Highly palatable
• Prescription not required

Cons

• Kibbles may be too large for some small breed dogs (Lotus makes a small bites version of this recipe)
• Kibbles dont soften much when soaked in water

7. Merrick Chunky Colossal Chicken Dinner

First 5 ingredients: Deboned Chicken, Chicken Broth, Turkey Broth, Carrots, Peas

Guaranteed Analysis:

Merrick Chunky Colossal Chicken Dinner is a tasty canned dog food that features meaty chicken chunks in gravy.

While the phosphorus content of this canned food is not as low as what wed prefer to give to dogs with kidney disease, the use of deboned chicken has made it lower in phosphorus than majority of other wet dog foods.

The phosphorus content of this wet dog food is 0.14% on an as fed basis or 0.77% on a dry matter basis. This food can be a good meal topper for prescription food, or as a supplemental meal to increase your pups hydration.

While it may be good enough for some dogs with early-stage renal disease, we highly recommend getting the approval of your vet before adding any type of food to your dogs restricted diet as it may affect the target kidney function values.

Made of USDA chicken, this tasty meal is free from chicken by-product meal or artificial enhancers. This grain-free recipe has carrots, peas, and potato starch as its sources of fiber and carbs.

Salmon oil and flaxseed oil provide high-quality sources of omega fatty acids. These essential fats promote healthy brain, cell, skin, and coat function in dogs. Omega 3 fatty acids are known to help slow down the advancement of renal disease.

Based on online reviews, this chunky stew is beloved by a lot of dogs. They lap up the savory gravy and happily gobble up the big meaty chunks. This saucy dog food is great for adding more moisture to your dogs diet.

Because it is not specifically made for special needs dogs, the phosphorus content is higher than ideal but much lower than most non-prescription wet dog foods.

With a little digging, we found that this recipe is already in the radar of pet owners dealing with canine renal failure. The majority of them use this recipe as part of their dogs diet, but not exclusively.

Some add this as a meal topper, while some mix it with homemade dog food to suit their pups specific nutritional needs.

Pros

• Lower phosphorus content than most commercial canned foods
• High-quality ingredients
• Deboned chicken is the main protein source
• Salmon oil omega 3 fatty acid source
• Highly palatable
• Good amount of gravy for extra hydration

Cons

• Too much potato for some buyers liking
• Reports of possible formula change

8. Evanger's Low Fat Vegetarian Dinner

First 5 ingredients: Sweet Potatoes, Potatoes, Water Sufficient for Processing, Brown Rice, Carrots

Guaranteed Analysis:

Evanger's Low Fat Vegetarian Dinner is a pate that is low in fat and sodium. Its phosphorus levels are not very low but are definitely lower than most of the canned dog food on the market.

The absence of meat makes it fairly low in phosphorus. For dogs who have early-stage kidney failure, this food can be a good topper or supplemental meal for increased hydration in your dogs diet.

Instead of meat, this vegetarian (not vegan) recipe has dried eggs and peas or pea protein as its protein sources. Egg is a bioavailable protein source that is naturally lower in phosphorus compared to organ meats and bone-in meats that are used in a lot of wet pet food.

This meat-free recipe is 0.2% phosphorus on an as fed basis or 0.83% on a dry matter basis. It is low in sodium at only 0.33% on a dry matter basis, which is helps the kidneys regulate or control blood pressure.

This grain-inclusive recipe has fiber-rich rice, sweet potatoes, and potatoes, making it gentle on sensitive tummies. Superfoods high in antioxidants such as carrots, tomatoes, blueberries, and cranberries are also included in this recipe.

Antioxidants are beneficial to dogs with kidney disease as they help improve overall cellular health and protect the immune system from free radicals.

Most of the feedback for this vegetarian product is from pet parents of special needs dogs. From pancreatitis to kidney issues, to meat allergies and gastrointestinal issues, a lot of dogs seem to do quite well on this low-fat, low sodium food.

It is important to note that many of them are also fed other foods along with this pate in order to meet their specific needs.

While it is formulated to be nutritionally complete and balanced to be served on its own as a meal to healthy dogs, a pup with renal disease may have a different requirement.

Ask your vet if the protein and phosphorus levels of this product are appropriate for your dogs food or diet.

Pros

• Lower phosphorus content than most commercial canned foods
• Low-sodium, low-fat, low to moderate protein levels
• High-quality ingredients
• Egg, pea protein, and other plant-based ingredients are the protein sources
• Highly palatable
• Gentle on sensitive stomachs
• Good for supplemental feeding or as a topper

Cons

• Pate is slightly dry
• May not be ideal as an exclusive meal for dogs with more advanced kidney disease

Best Supplement for Dogs with Kidney Disease

Vetoquinol Renal K+ Powder Kidney Supplement

Vetoquinol Renal K+ Powder Kidney Supplement for Cats & Dogs is one of the highest-rated kidney health supplements in the market.

It is formulated to boost the potassium levels in potassium-deficient dogs and cats a condition quite common in animals with chronic kidney disease.

Prescription is not required for this supplement. However, the product label states that it is not suitable for acute, oliguric, anuric, or very advanced renal failure.

It is best to consult your vet prior to giving any supplements as you could give too much to your dog, whose kidneys may have trouble regulating excessive potassium levels.

Specially made to be highly palatable, the powder is quite easy to administer for most dogs owners. Simply measure out the appropriate dosage using the included scoop and sprinkle it on your dogs meal. It can be used in conjunction with other kidney care aids such as prescription diets and medication.

This supplement has received excellent feedback from owners of dogs and cats suffering from kidney disease. Many have credited Renal K+ powder for the significant improvement in their dogs health.

Aside from the renewed energy levels and boosted appetites, their bloodwork numbers have also been restored to better levels.

Pros

• Helps restore potassium levels in pets with chronic kidney disease
• B-complex vitamins to help support normal muscle and nervous systems
• Can be used in conjunction with medication, special diets
• Highly palatable
• Easy to administer
• Has been proven to deliver excellent results

Cons

• Not suitable for pets with acute, oliguric, anuric, or very advanced renal failure
• Reportedly smells like dead fish

How Can Kidney Diseases in Dogs be Prevented?

Acute kidney failure can be prevented by taking a few steps in making sure your dog is protected from accidental ingestion of toxic substances. Make sure all medications, household cleaning chemicals, insecticides, antifreeze, and other chemicals are all properly resealed and stored in an area that they cannot reach.

Ensure that containers or such substances are also disposed of properly and away from your pups. The garbage can is another thing that bored dogs can easily get into. Here is where they can find a treasure trove of bottles of cleaning materials, discarded chemical-soaked rags, and contaminated food.

The smell of leftover food can definitely attract pups who always have food in their minds. Rotten food thrown in the trash is contaminated with harmful bacteria and possibly other chemicals present in the trash. Make sure that it is covered and not easily accessed by your dogs.

Avoid feeding your pets foods that can be harmful to them. Human foods such as chocolates, raisins, alcohol, coffee, artificial sweeteners, etc.

What to Feed Dogs With Kidney Disease

The dietary changes that need to be made will depend on the severity of the dogs kidney disease. In general, most vets would prescribe a diet that is lower in phosphorus, sodium, and protein.

Working with your vet is the best way to determine the specific diet and nutrient levels that are appropriate for your dog.

Water

Because malfunctioning kidneys are no longer able to are no longer as effective at excreting waste products as they used to, it is also unable to concentrate urine as needed.

In order to continue to rid the body of its toxins despite more dilute urine, the body compensates by increasing thirst.

Your pup must have access to fresh, clean water at all times. You can also increase her moisture intake by feeding canned dog foods approved by your vet. Low sodium broth made from boiled chicken breast, tuna juice, or low sodium vegetable broths can also be poured over their meals for added hydration.

Protein

Foods with lower protein levels are typically prescribed by vets for dogs with kidney disease. This greatly reduces the strain on the kidneys and decreases the need for the excretion of protein itself through the kidney.

This is why prescription dog food formulated for kidney or renal care all have low protein percentages compared to regular dog foods. As a general rule, the recommended range of protein on a dry matter basis for dogs with chronic kidney disease is around 14-20%.

However, the range of protein levels that will be prescribed by your vet will still depend on the severity of the kidney disease among other things.

Please note that the dry matter basis is not the numbers you see in the guaranteed analysis printed on the packaging of dog foods. To compute for the dry matter basis (DMB) percentage of a particular nutrient in a brand of dog food, we can use this equation:

DMB% = As fed basis% * 100% / (100% Moisture%)

Phosphorus

Restricting the dietary phosphorus in dogs can help slow down the progression of kidney disease. Because phosphorus content is related to protein content, it is impossible to achieve very low levels of phosphorus without also lowering the protein content.

Meats with bones are commonly higher in phosphorus compared to protein sources like boneless chicken breast. Organ meats can also have higher phosphorus content.

Sodium

The sodium intake of dogs with kidney disease or kidney failure must also be reduced. This eases the workload on the kidneys and helps prevent high blood pressure.

Aside from the dogs meals, the treats should also be lower in sodium. Avoid salty treats like cheese, deli meats, and treats that are high in artificial flavors.

Omega 3 Fatty Acids

The anti-inflammatory properties of omega 3 fatty acids are beneficial to dogs with kidney disease. The production of inflammatory compounds creates oxidative stress in the tissue of the diseased kidneys.

Omega 3 fatty acids contribute to slowing down the progression of the disease by helping reduce the protein leaking' through the kidneys.

Conclusion

Pets with renal failure no matter what stage can be quite challenging to treat, especially for chronic kidney disease which is irreversible.

Because of the delicate nature of the disease, you will need to work closely with your vet to determine which aspects of kidney health you need to work on to prevent renal failure from progressing further.

For most dogs, a combination of food with the appropriate nutrient levels, medication, fluids, and supplements is what works best to slow down the progression of the disease. The appropriate diet and treatment will greatly depend on the severity of the renal damage.

We hope that our list has made it easier for you to find the right dog food that will help your pooch live comfortably and happily for the rest of her years.